LEGISLATIVE OVERSIGH T COMMITTEE Study of the Department of Alcohol and Other Drug Abuse Services March 6, 2020 FULL COMMITTEE OPTIONS FULL COMMITTEE ACTION(S) DATE(S) OF FULL STANDARD PRACTICE 12.4 COMMITTEE ACTION(S) (1) Refer the study and Subcommittee study report February 25, 2020 investigation back to the available for consideration Subcommittee or an ad hoc committee for further Subcommittee study presentation February 26, 2020 evaluation; and discussion (2) Approve the Subcommittee’s study; or Approval of the Subcommittee’s February 26, 2020, with (3) Further evaluate the agency as study opportunity for members to a full Committee, utilizing any provide comments open of the available tools of until March 6, 2020 legislative oversight. Legislative Oversight Committee Post Office Box 11867 Columbia, South Carolina 29211 Telephone: (803) 212-6810 • Fax: (803) 212-6811 Room 228 Blatt Building Wm. Weston J. Newton, Chair Laurie Slade Funderburk, First Vice-Chair Micajah P. (Micah) Caskey, IV Gary E. Clary Neal A. Collins Chandra E. Dillard Patricia Moore (Pat) Henegan Lee Hewitt William M. (Bill) Hixon Joseph H. Jefferson, Jr. Jeffrey E. (Jeff) Johnson Mandy Powers Norrell Marvin R. Pendarvis Robert L. Ridgeway, III Tommy M. Stringer Edward R. Tallon, Sr. Bill Taylor John Taliaferro (Jay) West, IV* Robert Q. Williams Chris Wooten Jennifer L. Dobson Research Director Charles L. Appleby, IV Lewis Carter Legal Counsel Research Analyst/Auditor Cathy A. Greer Kendra H. Wilkerson Administration Coordinator Fiscal/Research Analyst Members of the Healthcare and Regulatory Subcommittee and the Subcommittee’s primary staff person are in bold font, and an asterisk designates the chair. TABLE OF CONTENTS Agency Snapshot ................................................................................................................... 5 Legislative History ................................................................................................................. 6 Recommendations ................................................................................................................ 8 Recommendations to DAODAS ................................................................................................................ 9 Effectiveness............................................................................................................................ 9 Efficiency ............................................................................................................................... 10 Accountability ....................................................................................................................... 10 Interagency Collaboration .................................................................................................... 10 Recommendations to the Department of Health and Environmental Control ...................................... 11 Effectiveness.......................................................................................................................... 11 Recommendations to the General Assembly ......................................................................................... 12 Effectiveness.......................................................................................................................... 12 Modernization of Laws ......................................................................................................... 13 Study Process ...................................................................................................................... 15 Agency Selection ..................................................................................................................................... 15 Subcommittee Membership ................................................................................................................... 15 Agency Reports to Legislative Oversight Committee ............................................................................. 15 Information from the Public ................................................................................................................... 15 Meetings Regarding the Agency ............................................................................................................. 16 Next Steps ............................................................................................................................................... 19 Selected Agency Information ............................................................................................... 20 Appendix A. Agency Overview ............................................................................................. 21 History .................................................................................................................................................... 21 Legal Obligations .................................................................................................................................... 27 Agency Organization and Employees ..................................................................................................... 27 Governing Body ..................................................................................................................... 27 Agency Organizational Units ................................................................................................ 27 Organizational Chart ............................................................................................................. 28 Internal Audit Process ........................................................................................................... 29 Services, Customers, and Performance .................................................................................................. 29 Deliverables ........................................................................................................................... 29 Performance Measures ......................................................................................................... 29 Key Federal and Local Partners .............................................................................................................. 29 Appendix B. Agency Reports to Committee .......................................................................... 30 Seven-Year Plan for Cost Savings and Increased Efficiencies ................................................................. 30 Restructuring Report .............................................................................................................................. 30 Program Evaluation Report .................................................................................................................... 30 Appendix C. Public Input ...................................................................................................... 31 Public Survey........................................................................................................................................... 31 Public Input via Committee Website ...................................................................................................... 31 Public Input via In-Person Testimony ..................................................................................................... 31 Contact Information ............................................................................................................ 32 Endnotes ............................................................................................................................. 32 AGENCY SNAPSHOT Figure 1. Snapshot of agency’s mission, services, organizational units, history, FY 2017-18 resources, successes, and challenges.1 Page 5 of 36 House Legislative Oversight Committee Study of DAODAS LEGISLATIVE HISTORY The following are significant legislative events pertaining to the Department of Alcohol and Other Drug Abuse Services (DAODAS or agency): 1954 The General Assembly passes Act 691, which directs the S.C. Mental Health Commission to set up an Alcoholic Rehabilitation Center and appoint a director of adult education for the prevention of alcoholism.2 However, no funds are allocated for this new center, and therefore no action is taken by the Mental Health Commission. 1956 A joint resolution to appoint a committee to investigate the feasibility of establishing an alcoholic rehabilitation center is passed by the General Assembly, and $1,500 is placed in the state budget for this task.3 1957 The General Assembly passes Act 309, creating the S.C. Alcoholic Rehabilitation Center, and requiring the appointment of a Director of Adult Education.4 $20,000 is placed in the first year’s budget for staff and operations, and $75,000 is added later for construction of an alcoholic rehabilitation center. 1966 On March 31, Governor Robert McNair signs a bill changing the S.C. Alcoholic Rehabilitation Center to the S.C. Commission on Alcoholism.5 1967 The General Assembly transfers the direct treatment responsibilities of the S.C. Commission on Alcoholism (SCCA) to the state agency for vocational rehabilitation.6 This allows the federal funding received by the vocational rehabilitation agency to be used to fund Palmetto Center in Florence, S.C., the first state-supported facility for alcoholism in South Carolina. The SCCA is charged with facilitating and evaluating the statewide alcoholism program.7 1971 Act 445 creates the S.C. Office of the Commissioner of Narcotics and Controlled Substances in the